Chapter 4, by J. Christopher Fowler, Ben Brunnschweiler, and Johanna Brock, describes their study of women with bulimia. Our culture socializes female adolescents to value independence and autonomy but also to inhibit aggression and to be affiliative. The authors’ clinical observations include an engulfing relationship with the mother, problems in separation/individuation, difficulties in affect regulation, and alexithymia. The authors’ studies affirm conflicts over autonomy, beginning sexuality, and uncontrollable changes in the female body. Women with bulimia had difficulty separating from their mothers, and many were also furious with their narcissistic fathers.